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Ohio rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.68 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.36 / $141.37 / $259.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $112.53 / $215.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.58 / $81.09 / $100.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.67 / $160.56 / $160.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $146.77 / $267.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.09 / $156.85 / $282.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.80 / $155.32 / $209.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $979.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.71 / $167.89 / $319.02